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Trying to determine exactly what drives your biggest workers' compensation costs? The devil is in the details.
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Medicaid recipients who are "frequent fliers" are getting help with their medical, behavioral health, and psychosocial needs through a pilot project developed by Hudson Health Plan and the New York State Department of Health.
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Once the details are ironed out, health care reform will offer great opportunities for case managers in a variety of settings, says Margaret Leonard, MS, RN-B, C, FNP, senior vice president for clinical services at Hudson Health Plan and outgoing president of the Case Management Society of America (CMSA).
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Assistive technology can make life better for everyone and help people live independently in a safe environment, whether they have a catastrophic illness or injury or are elderly with cognitive and/or vision issues, says Hunter Ramseur, MEd, LPC, CDMS, ATP, principal of Atlanta-based Assistive Technology Consulting LLC.
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Smokers need not apply. That is the new policy of Memorial Health Care System in Chattanooga, TN.
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Mental health screening should be part of your overall plan to assess risk, implement interventions, and establish outcomes measurement strategies, says Nancy W. Spangler, MS, OTR/L, a consultant to the Partnership for Workplace Mental Health and president of Leawood, KS-based Spangler Associates Inc.
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Three factors depression, stress and obesity together account for about half of the variance in the average workers' compensation cost per case at PPG Industries.
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When you are developing a post-discharge care plan for patients who will need some assistance at home, make sure the patient and family understand what is required of them and that they are aware of all their options, including paying for private home care services.
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WellPoint Inc.'s disease management program, designed to improve care for members with bipolar disorder, reported a 22% increase in medication compliance and a 14% decrease in behavioral inpatient services for members during a recent outcomes revaluation.
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When patients don't follow their discharge instructions and end up back in the hospital, it may be that they simply don't understand what they were supposed to do at home.